| Organization Name: | DUNBAR THERAPY CENTER, LLC |
| NPI Number: | 1508291477 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASPER BANZON (OWNER) |
| Mailing Address: | 1313 Dunbar Ave Dunbar |
| State: | WV US |
| Postal Code: | 250642920 |
| Phone Number: | 3044004896 |
| Fax Number: | 3044004897 |
| NPI Enumeration Date: | 09/10/2013 |
| NPI Last Update Date: | 10/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | OTR/L 1092 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |